Active NPI
Dodge Center Chiropractic Office, P.a.
- Chiropractor
- Dodge Center, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4748
- Legal business name
- DODGE CENTER CHIROPRACTIC OFFICE, P.A.
- Practice address
- 405 2ND Ave NW
Dodge Center, MN 55927 - Phone
- (507) 374-6742
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Thomas Klein, D.C.
- Title
- President
- Phone
- (507) 374-6742
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4748 | MN | Primary |
Addresses
Primary practice location
405 2ND Ave NW
Dodge Center, MN 55927
Mailing address
PO Box 298
Dodge Center, MN 55927-0298
Phone (507) 374-6742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2039906 | Dodge Center Chiropractic Office PA | Certificate of waiver | Apr 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
405 2nd Ave NW
Dodge Center, MN 55927
Phone (507) 374-6742
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Dodge Center, MN
- NPI 1730123530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750436598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 298",
"city": "DODGE CENTER",
"state": "MN",
"postal_code": "559270298",
"telephone_number": "507-374-6742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 2ND AVE NW",
"city": "DODGE CENTER",
"state": "MN",
"postal_code": "55927",
"telephone_number": "507-374-6742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DODGE CENTER CHIROPRACTIC OFFICE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "507-374-6742",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "4748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dodge Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.